Laparoscopic choledochal cyst resection and reconstruction

Abstract

Background: Choledochal cysts are benign uncommon congenital cystic dilatations of the bile duct usually associated with anomalous junction of pancreaticobiliary duct. Recurrent pancreatitis can be a possible complication in these cases resulting even in bile duct cancer if not treated. Methods: Video of a Case report Results: We present a case of a 22 years old male with recurrent pancreatitis. A Choledochal cyst (Todani type IV A) was diagnosed. A laparoscopic approach was performed with the cyst resection and https://www.ncbi.nlm.nih.gov/pubmed/29089716 reconstruction. The patient had a good recovery being discharge on the fourth postoperative day. Pathological analysis confirmed our previous diagnosis. Conclusion: Complete Laparoscopic resolution of Choledochal cysts is a feasible and acceptable approach nowadays. Although rare, physicians need to keep this diagnosis in mind, especially when recurrent pancreatitis is presented and refer the patient to a high-volume center to be correctly treated.